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Rotator cuff injuries: current perspectives and trends for treatment and rehabilitation a??

机译:肩袖损伤:治疗和康复的当前观点和趋势

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OBJECTIVE: To map out the approaches used by Brazilian orthopedists in treating complete tears of the rotator cuff. METHODS: A multiple-choice questionnaire was handed out to 232 orthopedists at the 45th Brazilian Congress of Orthopedics and Traumatology. Of these, 207 were returned but five were incomplete and were excluded. Thus, 202 questionnaires were used. RESULTS: Among the orthopedists who answered the questionnaires, around 60% were from the southeastern region and 46% were shoulder and elbow surgeons. There was a significant association ( p < 0.05) between length of experience and number of rotator cuff repairs performed per year. There was also a significant association ( p < 0.05) between shoulder specialty and the following variables: arthroscopic technique, use of anchors in a single-row configuration, mean time taken for an indication for surgery to be made in cases of traumatic and degenerative lesions, use of a specific protocol for postsurgical rehabilitation, return to sport and indication of irreparable injuries. CONCLUSIONS: Brazilian shoulder surgeons have well-established approaches toward treating rotator cuff injuries. Most of these approaches differ significantly from those of other specialties. This shows the importance of placing value on training in preparing shoulder specialists in this country.
机译:目的:确定巴西骨科医生用于治疗肩袖完全撕裂的方法。方法:在第45届巴西骨伤科大会上向232名骨科医师发放了多项选择问卷。其中207人被退回,但五人不完整,被排除在外。因此,使用了202个问卷。结果:在回答问卷的骨科医生中,大约60%来自东南部地区,46%是肩肘外科医师。经验的持续时间与每年进行的肩袖修补术次数之间存在显着相关性(p <0.05)。肩关节专长与以下变量之间也存在显着相关性(p <0.05):关节镜技术,单行配置锚钉使用,外伤性和退行性病变的平均手术指征时间,使用特定方案进行术后康复,重返运动场并指出不可修复的伤害。结论:巴西的肩部外科医生已经确立了治疗肩袖损伤的方法。这些方法大多数都与其他专业有很大不同。这表明在该国重视培训培训肩上专家的重要性。

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